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General NPI Number Information
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NPI Number | 1326536434
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Entity Type | Individual
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Provider Name | AMANDA ELIZABETH MULDOON AU.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-493-4634
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Fax |
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Provider Business Mailing Address
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Address Line | 36 HIGHRIDGE RD STE 3800S
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City | MAHOPAC
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State | NY
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Zip | 10541-2165
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Country | US
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Telephone | 860-729-0020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001916-1
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License Number State | NY
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